Individual provider Active NPI

Rosbel Gonzalez Rivera, MD

  • Dermatology Physician
  • Bayamon, PR
National Provider Identifier
1003124728
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
19553 Issued in PR
Practice address
68 Calle Santa Cruz Ste 305 Torre San Pablo
Bayamon, PR 00961-7036
Phone
(787) 798-1200
NPI assigned
Sep 15, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 19553 PR Primary

Addresses

Primary practice location

68 Calle Santa Cruz Ste 305 Torre San Pablo
Bayamon, PR 00961-7036

Mailing address

PO Box 366842
San Juan, PR 00936-6842
Phone (787) 798-1200

Other practice location 1

64 Calle Santa Cruz Ste 108
Bayamon, PR 00961-7002
Phone (787) 798-1993

Other identifiers 1

IdentifierTypeStateIssuer
19553OtherPRLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180201001070 PR Practitioner - Dermatology 1355601873 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Puerto Rico School of Medicine, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

68 Calle Santa Cruz
Bayamon, PR 00961-7031
Phone (787) 798-1200

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions865
Removal of nail tissue1-10
Skin biopsy167

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
RG Dermatology Dermatology CurrentSince Nov 9, 2017 Accepting new patients

Locations

68 Calle Santa Cruz
Ste 305
Bayamon, PR 00961
Phone (787) 798-1200

64 Calle Santa Cruz
Ste 108
Bayamon, PR 00961
Phone (787) 798-1993

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1003124728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 366842",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009366842",
            "telephone_number": "787-798-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 CALLE SANTA CRUZ STE 305 TORRE SAN PABLO",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009617036",
            "telephone_number": "787-798-1200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "64 Calle Santa Cruz Ste 108",
            "address_purpose": "LOCATION",
            "city": "Bayamon",
            "state": "PR",
            "postal_code": "009617002",
            "country_code": "US",
            "telephone_number": "787-798-1993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ RIVERA",
        "first_name": "ROSBEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-15",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PR",
            "license": "19553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "19553",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.